Insurance Denial Specialist - Eagle Billing Services

Eagle Physicians • Greensboro, NC

12d • Onsite

About The Position

Eagle Physicians & Associates is seeking a dynamic, self-motivated Insurance Denial Specialist to join their dedicated healthcare team at Eagle Billing Services. This role offers a competitive salary, a collaborative work environment, and an outstanding benefits package. The ideal candidate is a compassionate and patient-focused Insurance Denial Specialist with at least 1 year of medical billing experience looking for a rewarding opportunity.

Requirements

• One year of medical billing experience in a health care organization.

Nice To Haves

• Compassionate and patient-focused
• Dynamic, self-motivated
• Looking for a rewarding leadership opportunity

Responsibilities

• Accurately post insurance payments, including electronic and paper payments, as well as applicable adjustments.
• Apply knowledge of medical billing practices, CPT, ICD, and HCPCS codes to support accurate claim and account processing.
• Review and work insurance claim denials to ensure claims are processed accurately and appropriately.
• Follow up on delinquent insurance payments and outstanding reimbursement.
• Review transaction denials and collaborate with Eagle Business Services staff and/or practice sites to re-file charges when appropriate.
• Review payer policies, explanations of benefits (EOBs), and other billing documentation for accuracy and completeness, paying close attention to detail.
• Assist patients with insurance-related questions, including providing accurate explanations of how their insurance processed claims.
• Demonstrate a strong understanding of healthcare insurance and research all necessary information to facilitate reimbursement for charges.
• Maintain effective relationships with assigned payers to facilitate timely resolution of issues and reimbursement of claims.
• Prepare and maintain records in accordance with established procedures and detailed instructions.
• Accurately and concisely document all claims and/or account activity.
• Use computer systems and calculators effectively to complete assigned billing and reimbursement responsibilities.
• Communicate clearly and professionally with patients, coworkers, providers, Eagle Business Services staff, payer representatives, and other individuals.
• Provide pleasant, helpful, and professional telephone and customer service to patients and others.
• Participate in educational activities, meetings, and professional development opportunities as required.
• Demonstrate respect, courtesy, professionalism, and advocacy in all interactions with patients, coworkers, providers, and other individuals.
• Maintain a positive, team-oriented attitude and demonstrate a willingness to work effectively with coworkers and assist where and whenever needed.
• Maintain clear, legible, and professional written documentation using proper grammar and sentence structure.
• Follow HIPAA guidelines for patient confidentiality and maintain the security of Protected Health Information (PHI) and business information.
• Maintain the confidentiality of patient and business records and access, disclose, copy, or remove records only as necessary to fulfill assigned job responsibilities.
• Uphold and exemplify Eagle’s Diversity, Equity, and Inclusion values through daily actions, activities, and behaviors.
• Uphold and exemplify Eagle’s Vision, Mission, and Values through daily actions, activities, and behaviors.
• Perform additional duties and responsibilities as required.

Benefits

• Competitive salary
• Collaborative work environment
• Outstanding benefits package
• Structured retention bonus program: $750 at 6 months, $750 at 12 months, $1,000 at 18 months, $1,000 at 24 months
• Paid Maternity/Paternity Leave (up to two weeks after one year of employment and 1,250 hours worked, prorated based on FTE status)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed